Fillable Form Amsptd - Active Military Service Property Tax Deferment Application printable pdf download

Form AMSPTD (4/2016)

ACTIVE MILITARY SERVICE PROPERTY TAX DEFERMENT APPLICATION

P.L. 2015, c. 277

SUBMIT TO THE MUNICIPAL TAX COLLECTOR

Section I: IDENTIFICATION OF PROPERTY

OWNER’S NAME: _________________________________________________________

PROPERTY LOCATION: ___________________________________________________________________________

COUNTY: ___________________ MUNICIPALITY: __________________

BLOCK: ______________

LOT: ____________

QUALIFIER: _____________

TELEPHONE: ___________________________

EMAIL: ____________________________________________

Section II: DEFERMENT INFORMATION

OWNERSHIP:

I certify that the property for which the deferment is sought is solely owned by the NJ resident serviceperson who is/will be

deployed or is owned together with the serviceperson’s spouse/civil union partner.

DEPLOYMENT:

Please attach a copy of military orders for deployment. After the conclusion of the deployment, the applicant must provide

a copy of his or her DD-214 to verify the end date of the deployment. If the deployment is extended, a copy of the orders

extending the deployment must be provided to the tax collector.

START DATE OF DEPLOYMENT: ___/___/______

END DATE OF DEPLOYMENT: ___/___/_____

PERSONS FILING ON BEHALF OF SERVICEPERSON (IF APPLICABLE):

If the serviceperson-owner is not applying for the deferment in his or her own right, the person applying on his or her

behalf must provide the following information. If filing on behalf of serviceperson, by signing Section III of this form, applicant

affirms that he or she has been authorized by the serviceperson to submit this application on the serviceperson’s behalf and that

the serviceperson is aware of the requirements of this deferment as outlined in the acknowledgment in Section III.

NAME: __________________________

RELATIONSHIP TO SERVICEPERSON: _______________________

ADDRESS: __________________________________________________________________________________________

TELEPHONE: _________________________________

EMAIL: _______________________________________

SECTION III: ACKNOWLEDGMENT & SIGNATURE OF APPLICANT

I acknowledge that this is a deferment of, not an exemption from, the property taxes that will be due while I am deployed/the

serviceperson is deployed for active service in time of war. I also acknowledge that all property taxes that accrue while I am deployed/

the service person is deployed will become due in full, without interest, during a 90-day “grace period” following the last date of

deployment. I further acknowledge that any property tax amount not paid during the 90-day “grace period” following the end date of

deployment will be charged interest at the rate it would have accrued since the original property tax due date. I acknowledge that this

deferment only applies to property taxes that will be due during the period of deployment, and does not affect prior delinquencies

existing at the time of deployment or payments due before the start of the deployment. Finally, I acknowledge that this deferral only

applies to the property tax portion of the bill, and not to any utility payments made to the municipality.

***PLEASE CHECK THIS BOX TO INDICATE YOUR ACKNOWLDGEMENT***

______________________________________________________

____________________

Signature of Applicant

Date

RESERVED FOR OFFICIAL USE

This request for tax collection deferral is

APPROVED

DISAPPROVED

__________________________________________________________

_____________________

Tax Collector

Date

This form is promulgated by the Director of the Division of Taxation in the Department of the Treasury, as required by law, and may not be altered without approval of the

Director. Reproduction of this form is permitted provided it is the same content and format.

Form Amsptd - Active Military Service Property Tax Deferment Application

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